Active NPI
Linda Ann Buyan, OTR
- Occupational Therapist
- Hales Corners, WI
National Provider Identifier
1336312586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 297-026
- Practice address
- 9449 W Forest Home Ave
Hales Corners, WI 53130-1611 - Phone
- (414) 529-6888
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 297-026 | WI | Primary |
Addresses
Primary practice location
9449 W Forest Home Ave
Hales Corners, WI 53130-1611
Mailing address
9449 W Forest Home Ave
Hales Corners, WI 53130-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40647500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1336312586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9449 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301611",
"telephone_number": "414-529-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUYAN",
"first_name": "LINDA",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "297-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40647500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.